Keri Jo Smith (NPI# 1720533201, PAC ID# 7214217488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720533201 |
| PAC ID by PECOS | 7214217488 |
| Professional Enrollment ID | I20161205000990 |
| Full Name | Keri Jo Smith |
| Organization Legal Name | PORTER PHYSICIAN SERVICES LLC |
| Address |
520 8th Ave Ne Demotte IN 46310-9108 |
| Phone Number | 2199873581 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1850482407 |
| Number of Group Practice Members | 93 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150126 | FRANCISCAN HEALTH CROWN POINT |
| 151324 | FRANCISCAN HEALTH RENSSELAER, INC |
| 150035 | PORTER REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 520 8th Ave Ne, Demotte, IN 46310-9108 | 2199873581 | PORTER PHYSICIAN SERVICES LLC |
| Organization Legal Name | PORTER PHYSICIAN SERVICES LLC |
| Physicians | 89 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cristina Lubash | Nurse Practitioner | Porter Physician Services LLC | 401 Wall St, Unit F, Valparaiso, IN 46383-2585 |
| Hector Marchand Jr. | Internal Medicine | Porter Physician Services LLC | 1231 Cumberland Xing, Valparaiso, IN 46383-2192 |
| Geoffrey M Schwartz | Otolaryngology | Porter Physician Services LLC | 3630 Willowcreek Rd, Portage Medical Group, Portage, IN 46368-5075 |
| Geraldine G Feria | Internal Medicine | Porter Physician Services LLC | 306 S Ohio St, Wanatah, IN 46390-9436 |
| Donald J Maddack | Family Medicine | Porter Physician Services LLC | 650 Dickinson Rd, Chesterton, IN 46304-3387 |
| Michael Keenan | Otolaryngology | Porter Physician Services LLC | 2802 Leonard Dr, Valparaiso, IN 46383-7136 |
| Douglas A Mazurek | Critical Care (intensivists) | Porter Physician Services LLC | 650 Dickinson Rd, Suite A, Chesterton, IN 46304-3387 |
| Theodore L Stern | Family Medicine | Porter Physician Services LLC | 650 Dickinson Rd, Chesterton, IN 46304-3387 |
| Michael Christopher Hansen | Critical Care (intensivists) | Porter Physician Services LLC | 85 E Us Hwy 6, Valparaiso, IN 46383-8947 |
| Michelle Marie Dicostanzo | Family Medicine | Porter Physician Services LLC | 650 Dickinson Rd, Chesterton, IN 46304-3387 |
| Street Address |
520 8TH AVE NE |
| City | DEMOTTE |
| State | IN |
| Zip | 46310-9108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Sommer | Podiatry | 520 8th Ave Ne, Demotte, IN 46310-9108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Bn Achufusi | Family Medicine | Franciscan Physician Network | 200 3rd Court Se, Demonte, IN 46310-7400 |
| Ugochi G Okoro | Family Medicine | Franciscan Physician Network | 200 3rd Court Se, Demonte, IN 46310-7400 |
| Teressa M Meseberg | Nurse Practitioner | Minuteclinic Diagnostics of Indiana LLC | 310 N Halleck St, Demotte, IN 46310-9419 |
| Sarah M Lukasik | Nurse Practitioner | Minuteclinic Diagnostics of Indiana LLC | 310 N Halleck St, Demotte, IN 46310-9419 |
| Mark J Dobson | Chiropractic | Dobson Chiropractic Center PC | 5844 W State Rd, Suite 10, Demotte, IN 46310-9498 |
| Daron Keith Lynch | Chiropractic | Dobson Chiropractic Center PC | 5844 W State Rd, Suite 10, Demotte, IN 46310-9498 |
| Micah J Leestma | Family Medicine | Leestma Medical Clinic, Inc | 519 N Halleck St, Demotte, IN 46310-9553 |
| Donald Dwayne Sebastian | Chiropractic | 510 N Halleck St, Demotte, IN 46310-9553 | |
| Valerie Ann Waters | Nurse Practitioner | Dalal Medical Corporation | 519 N Halleck St, Demotte, IN 46310-9553 |
| Eric J Leestma | Family Medicine | Leestma Medical Clinic, Inc | 519 N Halleck St, Demotte, IN 46310-9553 |
| Find all physicians in zip 46310 | |||
| City | DEMOTTE |
| Zip Code | 46310 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DEMOTTE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Keri Jo Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.